SHANNON MARIE WISE Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194023106

License Status

ACTIVE

Business

First Name

SHANNON

Middle

MARIE

Last Name

WISE

Business Name

SHANNON MARIE WISE

Original Issue Date

06/24/2025

Effective Date

11/01/2025

Expiration Date

10/31/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/18/2025